Foreign body aspiration in an adult: the great mimic.
A middle-aged lady presented with a three-month history of chronic cough. After a long and extensive investigation, CT thorax revealed collapse consolidation of the right lower lung lobe and bronchoscopy showed a polypoidal tumour within the involved bronchus. Thoracotomy and segmental lung resection revealed a peanut in the airways of the fibrotic and infected lung tissue. In view of the rarity of the food particle aspiration in a healthy adult, the delay in presentation and diagnosis in our patient, we would like to highlight this particular case. A high index of suspicion of FBA is necessary to avoid unnecessary anxiety, extensive investigations and overzealous treatment as well as to promote lung conservation.
Ngoo
K S
KS
Division of Cardiothoracic Surgery, Department of Surgery, Faculty of Medicine, Heart and Lung Centre, Hospital Universiti Kebangsaan Malaysia, Jalan Yaacob Latiff, 56000 Cheras, Kuala Lumpur.
Ramzisham
A R M
AR
Joanna
O S M
OS
Zamrin
D M
DM
D010367:Arachis; D003937:Diagnosis, Differential; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis*; D006801:Humans; D008168:Lung; D008171:Lung Diseases / Q000175:diagnosis; D008875:Middle Aged